[the association of cryptosporidiosis and isosporosis in a patient with acquired immunodeficiency syndrome (aids)].

we describe one case of aids patient who have excreted simultaneously oocysts of isospora belli and cryptosporidium species for ten months. these parasites were noticed with qualitative and quantitative changes. different treatments were successless about these parasites. this double infestation in tropical aids patients appear to have a conspicuously frequency.

there are several protozoan infections that cause relatively benign illness in normal individuals but result in severe disease manifestations in patients with aids. these diseases include pneumocystis carinii pneumonia, cns toxoplasmosis, cryptosporidiosis, and isosporiasis. pneumocystis carinii pneumonia (pcp) caused by pneumocystis carinii, is the most common opportunistic infection in aids. it is seen in more than 80% of individuals with this syndrome. although historically classified as a pr ...

efficacy of octreotide in the management of chronic diarrhoea in aids.

patients with hiv infection were studied to assess the efficacy of octreotide, a somatostatin analogue, in the long-term management of refractory diarrhoea. dosage of subcutaneous octreotide was increased progressively at 48 h intervals from 150 to 300, 750 and 1500 micrograms/day according to response. twenty-nine patients, 21 with cryptosporidium enteritis, one with isospora belli enteritis and seven with no identifiable pathogen were selected for the study; four of these were excluded from th ...

cryptosporidium sp. and isospora belli are coccidian protozoan parasites that were long recognized as pathogens for many animal species. the medical community became acquainted with these organisms with the advent of aids. both parasites are associated with persistent, debilitating enteritis and, in the case of cryptosporidium, biliary tract involvement in patients with aids. for the immunocompetent host, infection with these two pathogens usually results in self-limited diarrhea. cryptosporidio ...

an adult t cell leukemia (atl) accompanied with isospora belli infection was described. a 65-year-old male was admitted to our hospital because of a two month history of watery diarrhea. on admission, physical examination showed slight pallor but no detectable superficial lymphadenopathies. hepatosplenomegaly was not observed. laboratory examination revealed a leukocyte count 5,500/microliters with 10% abnormal lymphoid cells. a majority of the abnormal lymphoid cells expressed both cd 4 and cd ...

ileal and jejunal absorptive function in patients with aids and enterococcidial infection.

small intestinal absorptive function was investigated in six patients with the acquired immunodeficiency syndrome (aids) who had diarrhoea and weight loss. proximal function was assessed by [14c]triolein test of fat absorption. distal function was determined by a test of bile acid absorption in which the loss of radio-labelled synthetic bile acid, 75seleno-23-homocholic acid-taurine ([75se]hcat), from the enterohepatic circulation was quantified by abdominal gamma-scanning and by a vitamin b12-i ...

[treatment with doxycycline and nifuroxazide of isospora belli infection in aids].

isospora belli infection is the most frequent coccidiosis after cryptosporidiosis in aids patients. chronic watery diarrhea is observed. trimethoprim-sulfamethoxazole is the recommended treatment. four aids patients were intolerant to this drug and were treated with doxycycline and nifuroxazide. three patients were cured. two patients died of other infections. the two last patients relapsed and were treated again with long term doxycycline. no relapse occurred during the following twelve months.

a review on infections by isospora belli and sarcocystis spp. both in healthy and in aids patients is done on the basis of literature and personal data. in this view a special focus is made on isospora belli infection in aids because of its high recurrence after successful attack therapy. consequently the most recent protocols for maintenance and attack therapy in these patients are reported. at the end, concerning ultrastructural pathology, the features of some isospora belli developing stages ...

previous studies have found a high prevalence of isospora belli and cryptosporidium parvum infections in african acquired immune deficiency syndrome (aids) patients with chronic diarrhoea. we aimed to determine the prevalence of gastrointestinal parasite in aids patients in hospital, not only those with diarrhoea, and to compare them with the general community. clinically diagnosed aids patients in a zambian teaching hospital were interviewed and examined, and stool specimens were studied for pa ...

the purpose of this study was to determine the prevalence of fever of unknown origin (fuo) in a cohort of hiv positive patients and to describe their evolution and the final diagnosis. the clinical records of 412 patients followed from january 1987 to december 1990 at our hiv outpatient clinic were reviewed: in 151 patients 255 episodes of fever had been observed of which 22 (in 21 patients) met the criteria for fuo. 19 patients (90%) presented with a cdc/who stage iv hiv infection and the mean ...

chronic diarrhea and wasting are very common manifestations of aids in adults in developing countries. etiologic studies show that protozoa (including cryptosporidium parvum, isospora belli, and enterocytozoon bieniusi) and mycobacterium avium-intracellulara are the most frequently identified pathogens. limited data in children suggest that common enteric pathogens are equally as likely in hiv+ and hiv- babies. preliminary analysis of an ongoing longitudinal study of 469 babies born to mothers w ...

reactivation of latent infection is the principal mechanism relating toxoplasma gondii and pneumocystis carinii to hiv. less common is reactivation in leishmania donovani, trypanosoma cruzi, and microsporidian infections. an impaired primary immune response occurs in all these infections, and also with cryptosporidium and isospora belli. association of hiv infection with gut parasites including giardia lamblia and entamoeba histolytica, and also with trichomonas vaginalis infection is likely to ...

a 51-year-old woman presented with intermittent diarrhea and marked loss of weight. stool examination and duodenal intubation both yielded coccidian oocytes of isospora belli. the patient responded to treatment with septrin (trimethoprim and sulfamethoxazole), 2 g daily for three weeks. this is the first reported case of severe human coccidiosis in israel.

humans in rhodesia harbour a wide range of intestinal protozoa. of the species included, entamoeba histolytica, entamoeba coli and giardia lamblia have previously been recorded. other species which are either rarely reported or which have previously never been reported from this country, include trichomonas hominis, chilomastix mesnili, enteromonas hominis, retortamonas intestinalis, balantidum coli,entamoeba hartmanni,entamoeba histolytica laredo. endolimax nana, dientamoeba fragilis and isospo ...

malignant lymphoma initiated with malabsorption syndrome due to isospora belli infection and lymphocytosis.

a 47-year-old man had diarrhea in 1965. four years later, malabsorption syndrome was diagnosed and the patient was found to have mild lymphocytosis. abdominal lymphoma was suspected, but exploratory laparotomy was normal except for partial villous atrophy of small intestine and slightly enlarged mesenteric lymphnodes which were normal microscopically. in vitro lymphocyte blastformation with phytohemagglutinin was depressed markedly throughout the course and the result predicted the developement ...

[utilization of the kato-katz-method (thick-smear technique) the diagnosis of isospora (author's transl)].

performing 10475 stool examination using the kato-katz, hoffman-pons-janer and direct examination (after agitation) methods, the author showed the best results with kato-katz method for the diagnosis of isospora hominis and isospora belli. among the 10475 stools examined 392 (3.74%) were positive for i. hominis and 55 (0.52%) for i. belli with the kato-katz method; with the use of the others methods only 28 (0.26%) were positive for i. hominis and 6 (0.06% for i. belli.

a total of 372 pooled stool specimens from 274 homosexual men with diarrhea were submitted for parasitologic examination over a 2.5-year period. each two-vial pooled specimen set contained portions of stool from 3 consecutive days in formalin and polyvinyl alcohol. of the 274 patients, 133 (48.5%) harbored one or more intestinal protozoa, with 161 (43.3%) of the 372 specimens submitted being positive for one or more organisms. the parasites identified included entamoeba histolytica (71 patients) ...

i. belli is common in tropical and subtropical environments. sporadic outbreaks have occurred in mental institutions and in day-care centers in the united states. the infection is common in immunosuppressed patients, particularly those with aids living in tropical areas. transmission probably occurs by the fecal-oral route. chronic diarrhea is the major clinical manifestation. the pathophysiology of i. belli-induced diarrhea is unknown. laboratory diagnosis is readily performed with the examinat ...

[etiology of diarrheal diseases in immunocompetent and hiv-positive patients].

in 1986 and 1987 the stool samples of 206 patients of the medical outpatient clinic basel were examined prospectively for bacteria, protozoa and worms. clinical data of the patients were recorded by questionnaire. the patient group comprised 63 immunocompetent patients as well as 23 hiv-infected patients, all with symptoms of acute enteritis. the control group consisted of 120 healthy persons. pathogenic organisms were found in the stools of 17.5% of the immunocompetent patients with enteritis. ...

[enteritis caused by isospora belli in patients with the acquired immunodeficiency syndrome. description of 9 cases].

the features of the nine first cases of isospora belli enteritis in patients with acquired immunodeficiency syndrome (aids) diagnosed in the hospital cliníc i provincial of barcelona from september 1984 to may 1989 are reported. all patients were male, five were homosexual and four were parenteral drug abusers. the clinical presentation was watery diarrhea without pathological products lasting for more than one month. five patients had features of dehydration, five had malabsorption, two had fev ...

opportunistic parasitic infections are diagnosed more and more often in african patients with aids. cryptosporidiosis is the most frequent with a prevalence between 7 and 31%. the prevalence of isospora belli is between 5 and 19% and that of strongyloidiasis between 2 and 5%, depending on the authors. these parasitic infections are probably one of the frequent causes of chronic diarrhea in africa. the prevalence of toxoplasmosis and pneumocystosis are not well known. (between 5 and 17% for toxop ...

gastrointestinal disease is the commonest presentation of aids in the third world. diarrhoea and weight loss are particularly common. although many pathogens may be found, chronic cryptosporidiosis is the most frequent and there remains no specific effective therapy. isospora belli is found in less than 10% of cases, but may be treated with cotrimoxazole, and long-term maintenance treatment to prevent relapse is effective. oral disease, especially with candidiasis, is increasingly recognized and ...

hiv-related enteropathy in zambia: a clinical, microbiological, and histological study.

to investigate the etiology of chronic diarrhea associated with human immunodeficiency virus (hiv) infection in lusaka, we studied 63 hiv-positive patients and 36 seronegative controls clinically and endoscopically. stools were studied for morphology and for opportunist infections. fifty-five percent of patients seropositive for hiv who presented with a history of chronic diarrhea had parasites; the most common were cryptosporidium (32%), isospora belli (16%), and strongyloides stercoralis (6%). ...

gastrointestinal disease in aids is common and is due to opportunistic infections, aggressive malignancy and possible direct hiv enteropathy. disabling gastrointestinal symptoms are prominent both in patients with established aids and in patients with earlier stages of hiv infection. we report the cases of 160 patients with aids who underwent gastroenterological investigations at st vincent's hospital, sydney, between november 1983 to october 1987. of these, 127 had the diagnosis of aids establi ...

isospora belli infection in a patient with hodgkin's disease: report of a case.

a 42-year-old woman with a history of documented hodgkin's disease for 1 year presented with watery diarrhea for 6 months. she developed watery diarrhea following recurrence of the underlying disease and use of herbs. after institution of chemotherapy, watery diarrhea persisted despite remission of the underlying disease. stool cultures and examinations for several pathogens were negative. later, oocysts of isopora belli were identified in the stool. the immunological status was typical of patie ...

opportunistic infections in aids in developed and developing countries.

the acquired immune deficiency syndrome (aids) is fundamentally the same disease in all parts of the world, but the prevalence of microorganisms in an environment governs the patterns of disease arising from reactivated latent infections, invading pathogens and opportunistic infections. aids in africa has certain characteristic presentations. enteropathic aids is most common: cryptosporidium and isospora belli are identified in up to 60% of patients, but it is uncertain whether they are the caus ...

the occurrence of intestinal parasites, its relation with the transmission mechanism of hiv, and the clinical state of the aids patients, were analyzed in 99 group iv patients (cdc, 1986), treated at "hospital universitário pedro ernesto" (hupe), between 1986 and 1988. the group consisted of 79 (79.8%) patients whose hiv transmission mechanism took place through sexual contact and of 16 (20.2%) who were infected through blood. feces samples from each patient were examined by four distincts metho ...

topical treatment of cutaneous larva migrans with thiabendazole and cambendazole is briefly described. aids has focused attention on the coccidial parasites cryptosporidium spp. and isospora belli because they can be responsible for severe chronic enteritis in immunodeficient patients. the species formerly known as isospora hominis--after detection of its life cycle--has now been correctly named sarcocystis bovihominis and s. suihominis, respectively. in future, patients harbouring commensal str ...

most parasites of man in new guinea are cosmopolitan species, widely distributed and highly prevalent in the island. reports of other parasite infections are reviewed. this impoverished fauna includes anthroponotic species normally occurring at low prevalences, e.g. isospora belli, dientamoeba fragilis, trichomonas hominis and a few zoonotic forms with pigs as reservoir hosts, notably balantidium coli and entamoeba polecki. other zoonoses are very few and extremely rare. this may be due to the r ...

a research was made on one hundred cases of diarrhoeas in aids-patients by stool examination including examination of duodenal aspirated liquid. concerning the examination of duodenal fluid, we founded the parasites in almost one hundred patients of the cases. among parasites observed, isospora belli was the most frequent (20% of cases), followed by cryptosporidium (15%). strongyloides stercoralis represented 10% of the cases. the majority of other parasites was miscellaneous protozoa and some h ...

a patient with the acquired immunodeficiency syndrome (aids) presenting with isospora belli infection is reported. the difficulties encountered in the diagnosis and therapy of isosporiasis are discussed. the diarrhoea responded to treatment with intravenous fluid replacement and oral furazolidone.

[aids and gastrointestinal tract: a summary for gastroenterologists and surgeons].

the majority of patients with aids suffer from diarrhea and weight loss, as well as opportunistic infection and tumors of the gastrointestinal tract; endoscopy is frequently necessary. often, but not always, it is possible to identify an opportunistic tumor or infection which explains the patient's signs and symptoms. in other cases, hiv may itself be pathogenic. the most important opportunistic pathogens are candida albicans (stomatitis and esophagitis), cytomegalovirus and herpes simplex virus ...

role of the microbiology laboratory in the diagnosis of opportunistic infections in persons infected with human immunodeficiency virus.

patients with defects in the immune system caused by infection with human immunodeficiency virus are predisposed to a variety of opportunistic infections, many of which can be diagnosed by conventional or special microbiological procedures. this article reviews the laboratory diagnosis of bloodstream, lower respiratory tract, gastrointestinal tract, and central nervous system infections in persons infected with human immunodeficiency virus. laboratories serving health care facilities in which a ...

treatment and prophylaxis of isospora belli infection in patients with the acquired immunodeficiency syndrome.

enteric infection with the protozoan isospora belli is common in patients with the acquired immunodeficiency syndrome (aids) and causes severe diarrhea. i. belli responds well to treatment with trimethoprim-sulfamethoxazole, but there is a high rate of recurrence. to investigate the effect of long-term prophylaxis, we studied 32 haitian patients with aids complicated by i. belli infection and chronic diarrhea. all were treated with trimethoprim (160 mg) and sulfamethoxazole (800 mg), given orall ...

the parasitological profile of chronic diarrhoea in 46 zairian adults suspected of aids demonstrated that the frequency of protozoa was five times higher than that of helminths; 86% of the protozoa were sporozoa: isospora belli was the most frequent (19%), followed by cryptosporidium isolated for the first time in zaire (8%) and blastocystis hominis (2%). 37 of the 46 patients were immunodeficient.

the infectious complications of the acquired immunodeficiency syndrome (aids) are discussed, and the conventional and nonconventional therapies used for these infections are reviewed. the infections most commonly encountered in patients with aids are pneumocystis carinii pneumonia (58%), candida esophagitis (31%), toxoplasmosis (21%), cytomegalovirus infections (15%), and herpes-simplex virus infections (12%). pneumocystis carinii pneumonia is the most common life-threatening process in these pa ...

cryptosporidium and isospora belli are coccidian protozoan parasites that were long recognized as pathogens of animals. they were brought to the attention of the medical community by the advent of aids. these parasites are associated with persistent, devastating enteritis in patients with aids and self-limited diarrheal illness in the immunocompetent host. cryptosporidiosis appears to be more common than isosporiasis in both patients with aids and those who are not immunosuppressed. clinically, ...

several protozoa have emerged as the major opportunistic infections and cause of death in patients with acquired immunodeficiency syndrome (aids). pneumocystis carinii pneumonia is the leading cause of death in aids patients. electron microscopy (em) usually shows numerous trophozoites and cysts of pneumocystis filling up the entire alveolar space, while only cysts are seen under the light microscope. the focal thickening of cyst wall of pneumocystis, as demonstrated by em and manifested as a "p ...

this article reviews the biology, epidemiology, and clinical management of amebiasis, giardiasis, and cryptosporidiosis as well as the less common intestinal protozoa, dientamoeba fragilis, isospora belli, balantidium coli, and blastocystis hominis.

35 of the 40 cases with isospora belli infection were from france: 33 patients presenting with "travellers diarrhoea" were infected abroad (especially in tropical africa and the middle east) but 7 were infected in france itself. charcot-leyden crystals were found together with i. belli oocysts in the stools of 35 subjects. 61% of the cases presented with hypereosinophilia of between 6 and 20%. the average eosinophilia was 7.6% or 649/mm3.

to determine the aetiology of persistent diarrhoea in african patients with acquired immunodeficiency syndrome (aids), 42 patients with human immunodeficiency virus (hiv) and persistent diarrhoea were enrolled in a microbiological, endoscopic, and histological study. cryptosporidium was the intestinal parasite most often identified (30%); isospora belli was found in 12% of the patients. histological examination of the duodenal mucosa showed a non-specific inflammatory reaction in a significantly ...

isosporiasis is an uncommon but important diarrheal disease of humans that, like cryptosporidiosis, is life-threatening in patients with the acquired immunodeficiency syndrome (aids). isospora belli infection responds rapidly to therapy with trimethoprim-sulfamethoxazole, but patients with aids have a high rate of adverse reactions to this therapy. the cases of two patients with aids, sulfonamide allergy, and i. belli infection are reported. they were treated successfully with pyrimethamine alon ...

the study of 11 cases of isosporiasis (isospora belli) shows that this opportunistic coccidia, alone or with cryptosporidium, causes severe prolonged diarrhoea which worsens the prognosis and evolution of aids patients. a low prevalence (0.7%) is found in subjects from tropical regions. the results of treatment are disappointing. bactrim is the only drug found to be effective but prolonged parasitological surveillance is required to detect the frequent relapses, and assess the long-time usefulne ...

[opportunistic parasitic diseases and mycoses in aids. their frequencies in brazzaville (congo)].

to determine the frequency of opportunistic parasitic and mycotic diseases in adult aids patients in the congo, a study was conducted at l'hôpital universitaire de brazzaville in 1986 and 1987. diagnosis of aids was made using the who clinical definition for africa (bangui, 1985) and hiv seropositivity pasteur elisa test. oral pharyngeal candidiasis occurred in 36% of cases. intestinal parasitic profile found in 118 patients, 2/3 of whom were associated with chronic diarrhoea showed clearly rela ...

[diarrhea and acquired immunodeficiency syndrome in the tropics (tropical aids). the place of digestive endoscopic examinations in diagnosing opportunistic infections].

a.i.d.s. has revealed some parasitic, microbiotic, mycotic or viral diseases causing diarrhea or has given a revival of interest to them. so are cryptosporidium, isospora belli, salmonella typhi murium, cytomegalovirus. some easy techniques lead to the diagnosis of some pathogenic agents, such as parasitologic diagnosis of cryptosporidium. some other pathogenic agents call for a biopsy in view of an histopathology test: it is the case of cytomegalovirus of which the diagnosis is stated positivel ...

the authors carried out a prospective survey on 100 cases of aids in order to find out the different etiologies of infections diarrhoea in terms of frequency and diagnosis behaviour. 84 out of 100 patients got diarrhoea. all 100 patients had their stools examined, 78 underwent high digestive fibroscopy with irrigation and aspiration of duodenal liquid (iadl), 40 duodenal biopsies. 98 infecting agents were revealed in stool exams, 50 in iadl, 7 at the occasion of histopathological exam of duodena ...

this report describes a 38-year-old male homosexual with acquired immune deficiency syndrome (aids) and a history of isospora belli infestation treated with trimethoprim-sulfamethoxazole. at autopsy, intracellular and extracellular i. belli organisms were identified in the mucosa and lamina propria of small and large intestine as well as in mesenteric and tracheobronchial lymph nodes, where an associated granulomatous reaction was also present. until now, isosporiasis has been observed as intrac ...

the acquired immunodeficiency syndrome (aids) is a devastating new disease caused by the human immunodeficiency virus (hiv). this retrovirus causes profound immunoincompetence in its infected hosts, who are thereafter susceptible to develop myriad severe and relapsing protozoal, fungal, bacterial, viral, and arthropodal opportunistic infections, as well as unusual malignancies. the more than 50,000 patients who have developed aids in the united states have produced a sudden unexpected deluge of ...

the gastrointestinal manifestations seen in acquired immune deficiency syndrome (aids) are discussed based on the observation of 14 patients with a positive serology for lav/htlv iii antibody. aids was confirmed in 8 cases and aids related complex (arc) in 6 cases. risk groups included 6 homosexuals, 6 drug abusers and 2 patients from zaïre. all the aids cases underwent gastrointestinal endoscopy and biopsy; in 5 patients a necropsy was performed. evaluation of the immune status showed lymphopen ...

in addition to abnormalities in systemic immune function, patients with the acquired immunodeficiency syndrome (aids) and the pre-aids syndromes have significant abnormalities in the distribution of t-cell subsets in the intestinal tract. such immune deficits predispose such patients to opportunistic infections and tumors, many of which involve the gastrointestinal tract. for example, candida albicans often causes stomatitis and esophagitis. intestinal infections with parasites (cryptosporidium, ...

a 32-year-old haitian male with acquired immunodeficiency syndrome presented with complications of isospora belli enteritis. therapy with the investigational drug difluoromethylornithine was initiated. severe thrombocytopenia, nausea, and vomiting developed during intravenous drug therapy and recurred upon rechallenge with low-dose oral difluoromethylornithine. therapy was discontinued because of these severe adverse effects.

isospora belli and cryptosporidium sp. from a patient not suspected of having acquired immunodeficiency syndrome.

several protozoa including cryptosporidium sp. and isospora belli were found in a stool specimen from a patient not suspected of having acquired immunodeficiency syndrome (aids). as a result of the parasitologic findings, serologic tests were ordered that verified the diagnosis of aids. all stool specimens are routinely tested for presence of acid fast organisms with a modified acid fast technique.

diarrhoea and malabsorption in acquired immune deficiency syndrome: a study of four cases with special emphasis on opportunistic protozoan infestations.

chronic diarrhoea is frequent in acquired immune deficiency syndrome (aids) but has been poorly investigated so far. we report four patients with aids in whom diarrhoea and malabsorption were outstanding features, and who underwent extensive digestive investigations. diarrhoea was a presenting symptom in all subjects and was of secretory type in three of them. d-xylose and vitamin b12 were malabsorbed in all cases; steatorrhea was found in the two patients who could ingest significant amounts of ...

digestive disorders are very frequent in the course of immune deficiencies. parasitic infestations are often their cause, giardia lamblia was the first known agent and is chiefly found in deficiencies of humoral immunity. recent studies allowed a better evaluation of the relationships between the host's immune system and parasite, such as production of anti-giardia antibodies, presence of non specific anti-giardia factors in blood and maternal milk and the part played by cellular immunity. anoth ...

clinical manifestations and therapy of isospora belli infection in patients with the acquired immunodeficiency syndrome.

isospora belli has recently been recognized as an opportunistic protozoan pathogen in patients with the acquired immunodeficiency syndrome (aids). although i. belli rarely causes diarrhea in patients with aids in the united states, we have documented isosporiasis in 15 percent (20 of 131) of such patients in haiti. the infection was associated with chronic watery diarrhea and weight loss that was clinically indistinguishable from disease caused by the related coccidia cryptosporidium. no demogra ...

diarrhoea among infants in a crowded area of djakarta, indonesia. a longitudinal study from birth to two years.

diarrhoeal diseases are common in djakarta, indonesia, especially among infants and young children. a study has been made of possible bacterial and parasitic causes of outbreaks in a group of 156 infants in a crowded area of the city. before the study was complete, 60 infants had left the area and 30 had died; diarrhoea was probably the direct or indirect cause of 13 of the deaths.diarrhoea was associated with pathogenic escherichia coli in about 20% of the cases studied; other causes of diarrho ...

small bowel mucosal fragments from a human immunodeficiency virus-positive female patient with chronic diarrhea were investigated by transmission electron microscopy, and isospora belli enteritis was documented. the submicroscopic profile was characterized by a moderate abnormality of mucosal architecture with reduction in height of villi and hypertrophy of crypts. stages of both asexual (trophozoite, schizont and merozoite) and sexual (macrogametocyte) phases of the life cycle of the parasite w ...

isospora belli is a cause of protracted diarrhea in immunocompromised patients. acquired immunodeficiency syndrome (aids), seen mostly in homosexual men and narcotic addicts, predisposes affected persons to a number of opportunistic infections. as isospora belli has been reported only once in this group, we report isospora belli in an aids patient with chronic diarrhea.

[severe digestive complications of aids in a group of patients from zaire].

severe digestive complications of acquired immune deficiency syndrome (aids) were observed in 9 patients among a group of 17 patients from zaire treated for aids in belgium between may 1979-april 1983. among the 9 cases, there were 10 ailments of the upper digestive tract, 7 of intestinal disorders, 3 of hepatic disorders, and 2 of pancreatic disorders. the average age of affected patients was 35 years. 4 men averaged 32 years and 5 women averaged 39 years. their average stay in belgium was ...

a case of isospora belli infection in thailand is reported. an 18 month-old thai girl from a foster home was hospitalized for acute mucous diarrhoea. immature oocysts of i. belli were detected in the stool examination by simple saline smear. the symptoms subsided spontaneously with the disappearance of parasite from the stools on the fifth day. the pathogenesis of mucous diarrhoea and the route of transmission was discussed.